Effect of percentage of enteral nutrition in the total energy and nutrition support for patients with traumatic brain injury / 肠外与肠内营养

ABSTRACT

Objective: This study was conducted to determine the proper percentage of EN in the total energy and nutrition support for critically ill patients with traumatic brain injury (TBIs). Methods: 94 cases were randomly divided into 3 groups according to the percentage of EN in the total energy 100％ EN group in which patients received 100％ calories from EN; 75％ EN group in which patients received 75％ calories from EN, 25％ from PN; 50％ EN group in which patients received 50％ calories fromm EN, 50％ from PN. At baseline and follow-up on day 4, 7, 10, nutrition parameters, complete blood count and electrolytes as well as metabolic parameters including tests of liver and renal function were measured. Complications during treatment were recorded and the prognosis was finally judged. Results: Total protein and albumin were significantly higher in the 50％ EN and 75％ EN group on day 7 than in TEN group (P＜ 0. 05). There was significance difference found in complications between 75％EN and 50％EN group. A reduction in the length of stay in the hospital and expenses in the ICU for 10 days in the 75％ EN group (P ＜ 0. 05) was also observed. Conclusion: 75％ calories from EN in the total energy and nutrition support appeared to have great impact on management of critically ill patients with traumatic brain injury.